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Taking people in United StatesEarly phase 1

Tests ketamine effects on decision-making and emotion in depression

Tests ketamine against placebo in adults with major depressive disorder.

Plain-language title generated from the registry record
Registry title: Glutamatergic Adaptation to Stress as a Mechanism for Anhedonia and Treatment Response With Ketamine

Key facts

Where
Atlanta, United StatesSee the site
Phase
Early phase 1

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Source: NCT05327699, who can take part

Where in United States

  • Emory UniversityAtlanta, United StatesTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Emory University
Trial code
NCT05327699
Record updated
26 May 2026
Original description
The main purpose of this study is to investigate the effects of ketamine on decision-making and emotion processing in a sample of individuals diagnosed with Major Depressive Disorder (MDD).Read full original descriptionShow less

Glutamatergic Adaptation to Stress as a Mechanism for Anhedonia and Treatment Response With Ketamine

The main purpose of this study is to investigate the effects of ketamine on decision-making and emotion processing in a sample of individuals diagnosed with Major Depressive Disorder (MDD).

Inclusion: MDD Patients:; willing and able to give written informed consent; men or women, 18-65 years of age; primary diagnosis of DSM-V MDD, current, as diagnosed by the SCID-I; score of ≥20 on the Beck Depression Inventory, which will include patients characterized as having "moderate/severe" (20-28) or "very-severe" (29-63) depressive symptoms; off all antidepressant therapy for at least 8 weeks prior to the baseline visit; Healthy Controls:; willing and able to give written informed consent; men or women, 18-65 years of age.

Exclusion: use of any recreational drugs as confirmed by urine drug screen at the time of scanning; elevated blood pressure prior to infusion (systolic > 160 or diastolic >100); prior adverse reaction to ketamine; use of antipsychotic medications; use of any recreational drugs as confirmed by urine drug screen at the time of scanning; history of any bipolar disorder or psychotic disorder; Raynaud's disease that may interfere with the cold-pressor; history of treatment resistance as determined by ATRQ; evidence of any psychiatric disorder with exception of specific phobia, and no history of any psychiatric disorder except mild past substance use disorder as diagnosed by the SCID-I; history of any substance abuse within the last 6 months; Raynaud's disease that may interfere with the cold-pressor; unstable cardiovascular, endocrinologic, hematologic, hepatic, renal, or neurologic disease (as determined by physical examination and laboratory testing), including upper respiratory disease or asthma, glaucoma or porphyria; MDD Patients:; active psychotic symptoms of any type; substance abuse/dependence within 6 months of study entry (as determined by SCID); active suicidal ideation as determined by a score ≥3 on the Columbia Suicide Severity Rating Scale (C-SSR); pregnancy or lactation; use of glucocorticoids at any time during the study; contraindications for MRI; MMSE score <28; use of greater than 2mg daily of lorazepam or similar benzodiazipine; Regular smoker as self-reported; Healthy Controls:; pregnancy or lactation; use of glucocorticoids at any time during the study; contraindications for MRI; MMSE score <28; Regular smoker as self-reported.

ClinicalTrials.gov NCT05327699